Who can refer: Patients can be referred by a physician, health care professionals, hospitals, and other health care institutions. Family members and concerned citizens can refer loved ones. Individuals may self-refer or request an initial free consultation.
Refer a Patient to Home Healthcare Services
Beulah Health Care PLLC strives to help physicians and other healthcare providers connect their patients with the home healthcare services they need to live and recover safely at home
If your patient needs home healthcare services and meet the eligibility requirement use the tools below to complete a referral.
Refer a Patient to Home Healthcare Services
Beulah Health Care PLLC strives to help physicians and other healthcare providers connect their patients with the home healthcare services they need to live and recover safely at home
If your patient needs home healthcare services and meet the eligibility requirement use the tools below to complete a referral.
- Download BH Patient Referral Form: This downloadable form includes BH Referral Information and Home Health Orders. Complete this form and fax to: 623-444-9566 or email to helpdesk@beulahhealth.org.
- Please call 623-201-0084 to verify all faxed documents were received
- You may also complete the information below and our staff will contact you shortly.
Give your patients an overview of BH home healthcare services.